pulmonary complications are common in sickle cell disease patients. Respiratory training using inspiratory muscle trainer (IMT) is usually a good choice to improve these complications. Recently, acupuncture like transcutaneous electrical nerve stimulation (AC-tens) may also improve these complications.
sickle cell disease patients whose number will be forty patients will be divided to group I who will trained with IMT (threshold inspiratory muscle training) and treated with AC-tens (the number of patients will be 20) or group II who will trained with IMT (the number of patients will be 20) . The number of sessions per week will be three sessions for IMT or AC-tens for 12 weeks. the IMT will be performed for six sets of respiratory training cycles and the set will contain 10 respiratory cycles. Also the session of AC-tens will be 45 minute on bilateral Ex-B1 acupoint. the parameters of AC-tens will be four hertz and 200 microsecond pulse duration.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
40
sickle cell disease patients whose number will be 20 patients will be trained with IMT (threshold inspiratory muscle training) and treated with AC-tens. The number of sessions per week will be three sessions for IMT or AC-tens for 12 weeks. the IMT will be performed for six sets of respiratory training cycles and the set will contain 10 respiratory cycles. Also the session of AC-tens will be 45 minute on bilateral Ex-B1 acupoint. the parameters of AC-tens will be four hertz and 200 microsecond pulse duration.
sickle cell disease patients whose number will be 20 patients who will trained with IMT (threshold inspiratory muscle training). The number of sessions per week will be three sessions for IMT for 12 weeks. the IMT will be performed for six sets of respiratory training cycles and the set will contain 10 respiratory cycles.
faculty of physical therapy Cairo university
Dokki, Giza Governorate, Egypt
RECRUITINGFEV1/FVC ratio
will be measured by spirometry
Time frame: it will be assessed after12 weeks
forced expiratory volume at the first second of expiration
will be measured by spirometry
Time frame: it will be assessed after12 weeks
forced vital capacity
will be measured by spirometry
Time frame: it will be assessed after12 weeks
six minute walk distance
it will be a measure of physical capacity
Time frame: it will be assessed after12 weeks
physical summary of short form 36
it is a questionnaire measure of quality of life
Time frame: it will be assessed after12 weeks
mental summary of short form 36
it is a questionnaire measure of quality of life
Time frame: it will be assessed after12 weeks
right diaphragmatic excrusion
it will be assessed by ultrasonography
Time frame: it will be measured after 12 weeks
left diaphragmatic excrusion
it will be assessed by ultrasonography
Time frame: it will be measured after 12 weeks
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